Trial – Pericarditis

Patient information

19-year-old male.

Medical history: No previous medical history.

Symptoms: One week prior to admission the patient felt discomfort becuse of mild fever and flue-like symptoms. 18 hours prior to admission the patient started feeling a sharp and stabbing chest pain that worsend with deep breaths and when lying flat. The patient started getting fever again.

ECG: Diffuse upsloping ST-segment elevations seen best in leads II, III, aVF, and V2 to V6. Subtle PR-segment deviation (positive in aVR, negative in most other leads).

ECHO: Pericardial effusion between the visceral and parietal pericardium. Fibrin threads can be observed.

Patient material

Learning material

Pericarditis
Pulse and heart rhythm is regular. Normal auscultation is found at basis cordis. At the left sternal border and apex cordis pericardial friction rub is audible in both systole and diastole. Grade III murmur with maximum intensity at the left sternal border.